Cisplatin, Etoposide, and Radiation Therapy in Treating Patients With Limited-Stage Small Cell Lung Cancer
Lung Cancer
About this trial
This is an interventional treatment trial for Lung Cancer focused on measuring limited stage small cell lung cancer
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed small cell carcinoma of the lung by fine needle aspiration biopsy or two positive sputa Must have limited disease Stage I, II, IIIA, or IIIB Confined to 1 hemithorax, but excluding the following: T4 tumor based on malignant pleural effusion N3 disease based on contralateral hilar or contralateral supraclavicular involvement No pericardial or pleural effusions on chest x-ray (regardless of cytology) Measurable or evaluable disease Tumor must be able to be encompassed by limited radiotherapy fields without significantly compromising pulmonary function No prior complete tumor resection PATIENT CHARACTERISTICS: Age 18 to 100 Performance status Zubrod 0-1 Life expectancy Not specified Hematopoietic Absolute granulocyte count at least 1,500/mm^3 Platelet count at least 150,000/mm^3 Hepatic Bilirubin no greater than 1.5 mg/dL Renal Creatinine no greater than 1.5 mg/dL Cardiovascular No myocardial infarction within the past 6 months No symptomatic heart disease Pulmonary No chronic obstructive pulmonary disease with Forced Expiratory Volume (FEV)-1 no greater than 0.8 liter No uncontrolled bronchospasm in the unaffected lung Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception Available for follow-up No other malignancy within the past 2 years except curatively treated basal cell or squamous cell skin cancer or non-invasive in situ malignancies No other concurrent serious medical illness No uncontrolled psychiatric illness No chronic alcohol or drug abuse PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy No prior chemotherapy Endocrine therapy Not specified Radiotherapy No prior radiotherapy to the chest or other area containing a large amount of bone marrow (e.g., more than 75% of pelvic bone) Surgery See Disease Characteristics
Sites / Locations
- Comprehensive Cancer Center at University of Alabama at Birmingham
- Eden Medical Center
- Saint Rose Hospital
- Highland General Hospital at St. George's University School of Medicine
- Alta Bates Summit Medical Center - Summit Campus
- CCOP - Bay Area Tumor Institute
- Valley Care Medical Center
- Robert and Beverly Lewis Family Cancer Care Center at Pomona Valley Hospital Medical Center
- J.C. Robinson, M.D. Regional Cancer Center
- Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
- St. Joseph Medical Center
- Graham Hospital
- Memorial Hospital
- Eureka Community Hospital
- Galesburg Clinic
- Galesburg Cottage Hospital
- Mason District Hospital
- Kewanee Hospital
- McDonough District Hospital
- BroMenn Regional Medical Center
- Community Cancer Center
- Community Hospital of Ottawa
- Oncology Hematology Associates of Central Illinois, PC - Ottawa
- Cancer Treatment Center at Pekin Hospital
- OSF St. Francis Medical Center
- CCOP - Illinois Oncology Research Association
- Oncology Hematology Associates of Central Illinois, PC - Peoria
- Illinois Valley Community Hospital
- Perry Memorial Hospital
- St. Margaret's Hospital
- St. Francis Hospital and Health Centers - Beech Grove Campus
- Elkhart General Hospital
- Howard Community Hospital at Howard Regional Health System
- Center for Cancer Therapy at LaPorte Hospital and Health Services
- CCOP - Northern Indiana CR Consortium
- Memorial Hospital of South Bend
- Saint Joseph Regional Medical Center
- Wendt Regional Cancer Center at Finley Hospital
- Cancer Treatment Center at the Medical Center - Bowling Green
- Markey Cancer Center at University of Kentucky Chandler Medical Center
- St. Agnes Cancer Center
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
- St. Joseph Mercy Cancer Center at St. Joseph Mercy Hospital
- CCOP - Michigan Cancer Research Consortium
- Oakwood Cancer Center at Oakwood Hospital and Medical Center
- Barbara Ann Karmanos Cancer Institute
- Josephine Ford Cancer Center at Henry Ford Hospital
- Genesys Hurley Cancer Institute
- Hurley Medical Center
- Van Elslander Cancer Center at St. John Hospital and Medical Center
- Foote Hospital
- Borgess Medical Center
- West Michigan Cancer Center
- Bronson Methodist Hospital
- Sparrow Regional Cancer Center
- Seton Cancer Institute - Saginaw
- Lakeland Cancer Care Center at Lakeland Hospital - St. Joseph
- St. John Macomb Hospital
- Saint Louis University Cancer Center
- Siteman Cancer Center at Barnes-Jewish Hospital
- J. Phillip Citta Regional Cancer Center at Community Medical Center
- Fox Chase Cancer Center at St. Francis Medical Center
- South Jersey Healthcare Regional Cancer Center
- Fitzpatrick Cancer Center at Champlain Valley Physicians Hospital Medical Center
- Wayne Memorial Hospital, Incorporated
- Wayne Radiation Oncology
- Wilmed Radiation Oncology Services
- Akron City Hospital
- Aultman Hospital Cancer Center at Aultman Health Foundation
- Charles M. Barrett Cancer Center at University Hospital
- Huron Hospital Cancer Care Center
- Euclid Hospital
- Cleveland Clinic Taussig Cancer Center
- Grandview Hospital
- Good Samaritan Hospital
- David L. Rike Cancer Center at Miami Valley Hospital
- Samaritan North Cancer Care Center
- Veterans Affairs Medical Center - Dayton
- CCOP - Dayton
- Charles F. Kettering Memorial Hospital
- Hillcrest Cancer Center at Hillcrest Hospital
- Middletown Regional Hospital
- Cancer Research UK Medical Oncology Unit at Churchill Hospital & Weatherall Institute of Molecular Medicine - Oxford
- UVMC Cancer Care Center at Upper Valley Medical Center
- South Pointe Hospital Cancer Care Center
- Cancer Treatment Center
- Ruth G. McMillan Cancer Center at Greene Memorial Hospital
- Bryn Mawr Hospital
- Paoli Memorial Hospital
- Reading Hospital and Medical Center
- CCOP - MainLine Health
- Lankenau Cancer Center at Lankenau Hospital
- Rapid City Regional Hospital
- M.D. Anderson Cancer Center at University of Texas
- Cottonwood Hospital Medical Center
- McKay-Dee Hospital Center
- Utah Valley Regional Medical Center - Provo
- Dixie Regional Medical Center - East Campus
- Utah Cancer Specialists at UCS Cancer Center
- LDS Hospital
- Schiffler Cancer Center at Wheeling Hospital
- Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center
- Columbia St. Mary's Cancer Care Center
- Veterans Affairs Medical Center - Milwaukee
Arms of the Study
Arm 1
Experimental
Radiation Therapy + Chemotherapy
Accelerated high dose thoracic radiation therapy (RT) with concurrent cisplatin/etoposide chemotherapy, followed by 2 cycles of adjuvant cisplatin/etoposide chemotherapy